FDA approved obstructive sleep apnea treatment Fundamentos Explicado
FDA approved obstructive sleep apnea treatment Fundamentos Explicado
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There are two types of sleep apnea: OSA and central sleep apnea (CSA). The most common form, OSA, occurs when the upper airway is blocked recurrently during sleep. This form of sleep apnea is treated with CPAP, as well as additional methods of reducing the frequency of the blockages.
In the inpatient setting, it should be monitored very closely with vital signs, blood gases, and clinical profile. If there is any sign of deterioration mechanical ventilation should be considered.
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This device stimulates the hypoglossal nerve that causes the tongue to move forward in the mouth and expand the airway. A remote control is used to turn on the device at bedtime.
The other lead connects to a space in the ribs near the diaphragm. Once connected, the device monitors the patient's breathing. The device sends an impulse to the tongue during every breath while sleeping, keeping the airway open for here oxygen.
Side effects of CPAP treatment may include congestion, runny nose, dry mouth, or nosebleeds; humidification can often help with these symptoms. Masks may cause irritation or redness of the skin, and use of the right size mask and padding can minimize pressure sores from tight contact with skin.
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Dr. Karelsky frequently gives lectures about the surgical treatment of obstructive sleep apnea and has been featured on several television segments about the Inspire device.
The CPAP device needs to be used every night. Some patients complain of mask discomfort, nasal congestion, and nose and throat dryness when using CPAP. Others find the device to be too constrictive and cumbersome, particularly when traveling.
Some doctors may recommend bariatric surgery to aid in weight loss. Physical therapy and positional therapy may also improve symptoms.
Additional studies are needed to understand the potential benefits of TRDs, but these devices may be a reasonable alternative for people without teeth or who cannot use other oral devices.
Research shows that losing excess weight can reduce the severity of OSA symptoms. A combination of a change in diet and moderate exercise may be recommended. However, weight loss alone cannot completely eliminate OSA.